Individual
EDGAR ADRIAN LUGO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2840 MORRIS AVE, UNION, NJ 07083
(888) 244-5373
Mailing address
2840 MORRIS AVE, UNION, NJ 07083-4851
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA12323100
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA12323100
NJ
Other
Enumeration date
05/04/2018
Last updated
11/18/2024
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